Van Vliet Complex Membership Request

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To initiate your membership activation, please complete this Van Vliet Complex Membership Request form.
Your ONEcard / VVC Membership card will be updated within the next business day after a full payment is done.

If you prefer to have immediate access to the facility, please visit us at 1-241 Customer Service, Van Vliet Complex

First Name *

Last Name *

Email ( if you have a current and active ualberta.ca email, please use it ) *

Primary Phone Number *

ONEcard / VVC Membership card number (If you do not have a ONEcard or VVC Membership card, do not submit this form and come to the Customer Service desk) *

Address (including unit number) *

City *

Province *

Postal Code *

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Alberta. Report Abuse

Forms